Clinical evaluation of two posterior composite resins retained with bonding agents

Two hundred thirteen carious cavities were restored with two brands of chemically adhesive posterior composite resins by totally etching both the enamel and dentin walls after removing only the caries detector-stainable tissue and with no mechanical retention form in the cavity preparation. Most cavities were extensive, involving more than two surfaces in 74%. The dentin floor was not covered with cement although a spot lining was placed when the cavity was deep. All restorations were examined, usually after 4 years, by photographs and scanning electron microscope observation of replicas, and by criteria established by the U.S. Public Health Service. The materials and the technique proved to be clinically useful.